Morbid Obesity
Conditions
Keywords
Exercise, Morbidity Obesity
Brief summary
This objective study to verify the effect of physical training with and without behavioral cognitive therapy, compared with controls, in functional capacity and cardio-metabolic profile in individuals with morbidly obese
Detailed description
This study is a Randomized Clinical Trial, with individuals with morbid obesity, and will be consists of 3 groups: 1. Group 1 (G1 EXERCISE): This group will participate in an physical exercise program twice a week in hospital. 2. Group 2 (G2 - LIFESTYLE AND EXERCISE): This groups will receive the same G1 intervention associated with a weekly group followed up with techniques of cognitive behavioral therapy with a psychologist 3. Group 3 (G3 - CONTROL): This group will keep medical appointments information and routine procedure in the hospital. Will be included in study the individuals with morbid obesity who do not have contraindications to practice low-intensity exercise. Exclusion criteria are contraindications to physical exercise, individuals with cardiovascular disease with reduced functional capacity (class III and IV of the New York Heart Association), orthopedic problems, severe retinopathy, severe neuropathy, drug addicts and severe mental illness, metabolic or blood pressure decompensated.
Interventions
OTHERG1 -Exercise
20 minutes of aerobic exercises of low intensity (2-4 on the Borg scale) in the rhythm of different songs that encourage their implementation. After these exercises will be performed five minutes of stretching exercises. Furthermore the similar treatment to G3.
BEHAVIORALG2- Exercise and Lifestyle
Exercise more techniques of cognitive behavioral therapy based on principles of learning, in order to promote and maintain new healthy behaviors and the reduction or elimination of undesirable conduct. Furthermore the similar treatment to G3.
OTHERG3- Control
Routine treatment in outpatient of bariatric surgery. Consists of individual consultations and 05 (five) information meetings organized by the multidisciplinary team composed by the surgeon, endocrinologist, psychologist, psychiatrist, nutritionist, physical education teacher, pulmonologist, cardiologist and nurse. The G1 and G2 will also receive this intervention.
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals with morbid obesity * Individuals do not have contraindications to practice low-intensity exercise.
Exclusion criteria
* Contraindications to physical exercise * Cardiovascular disease with reduced functional capacity (class III and IV of the New York Heart Association) * Orthopedic problems * Severe retinopathy * Severe neuropathy * Drug addicts and severe mental illness * High blood pressure or metabolic decompensation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Weight Loss | baseline and Four months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Metabolic Parameters (composite) | baseline and Four months | Metabolic parameters will be evaluated using total cholesterol, HDL, triglycerides and glucose (Assessment at baseline and 4 months). |
| Six minute walk test (6MWT) | baseline and Four months | Functional capacity will be evaluated using the six minute walk test (6MWT) |
Countries
Brazil
Outcome results
None listed